The home failed to provide enough food and fluids to keep residents healthy. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
Nursing home report
OAK TRACE
DOWNERS GROVE, IL · Medicare-certified · 104 beds
Needs attention
For-profitChain member
5 of 5 overall
OAK TRACE (Downers Grove, IL) has a 5-of-5 overall star rating, with strong staffing and quality scores and a nurse staffing level above the federal benchmark (4.31 vs. 4.1 hours per resident per day). It also has a 4-star health inspection rating, $13,780 in fines over the last 24 months, and a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.3068 hrs/resident/day
Quality measures
Last inspection: January 17, 2025Penalties, last 24 months: $13,780recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3068.
Staffing detail
- Registered nurses
- 1.58
- Licensed practical nurses
- 0.15
- Nurse aides
- 2.58
- Weekend nursing
- 3.84
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 17%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
8.3%10.3%Worsening
Residents with a fall causing major injury
1.5%5.5%Worsening
Residents with pressure ulcers (bedsores)
6%4.8%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
12.5%5.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.7%8.3%No change
Residents whose ability to walk got worse
—19.9%—
Long-stay residents on antianxiety or sleep medication
6.2%2.6%Improving
Short-stay residents newly given an antipsychotic
1.2%0.5%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
13.2%23.1%Worsening
Residents with depressive symptoms
1.6%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—89.9%—
Short-stay residents given the pneumonia vaccine
95.1%98.6%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to tell residents or their representatives in writing how long their bed would be held after a hospital transfer or therapeutic leave. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 625 — 42 CFR §483.15 — S/S: E
The home failed to ensure residents received food prepared in a form that met their individual needs. Cited February 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 805 — 42 CFR §483.60 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $13,780 was recorded.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $13,780 in total fines.
- $13,780
Federal fine
Jan 17, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of LIFESPACE COMMUNITIES · 16 homes · 4.2 stars avg
- Occupancy
- 100 residents on an average day (96% of 104 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.